United Montessori Schools of Indiana Conference Registration

Fall Conference Registration Form

October 22, 2022, Trine University, Angola, Indiana
Note: If you need to pay by check or purchase order, please download this form and return it with a purchase order or check payable to UMSI to: Attn: Kathy Lause, 5111 Evanston Avenue, Indianapolis, Indiana 46205. Please provide your name and school on the memo section of the check.
Full Name *

First Name Last Name
School *
Name of school
E-mail *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Note: Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Track

Early Childhood Elementary Parent Montessori Philosophy
Lunch choice *

Dijon Ham and Swiss with pasta salad and fruit and cookie Beef and Cheddar with pasta salad and fruit and cookie Grilled Veggie Pesto wrap (GF and DF) with chips and fruit and rice crispy treat Grilled Marinated Chicken sandwich (GF and DF) with chips and fruit and rice crispy treat
Please indicate any food allergies or dietary restrictions
Membership

Please send me more information about joining UMSI
Options *
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Non-member attendee registration $ 100.00

Member or student attendee registration $ 75.00

Total $ 0.00
Note: No refunds
Conference sponsored by
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Fall Conference Registration Form